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Necrobiosis Lipoidica Diabeticorum. Presented by Dr. Herbert Rattner and Dr. Maurice Dorne.
E. G., a woman aged 23, presents a palm-sized lesion on the lower anterior surface of the right leg, polycyclic in outline and sharply defined. It feels firm, much like a patch of scleroderma. The surface is smooth and shiny, with several yellowish pea-sized areas in the central portion and fine telangiectases traversing the surface. The border is violaceous. There are two similar but smaller lesions on the tibial surface of the left leg. The first lesion was noticed twelve years ago. Not until four months ago did the patient know that she had diabetes mellitus. At that time chemical analysis of the blood showed 375 mg. of sugar per hundred cubic centimeters. After one month of dietary treatment the volume was reduced to 250 mg. The cholesterol amounted to 191 mg. per hundred cubic centimeters and the
Rattner H, Ebert MH. CHICAGO DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1941;43(6):1053–1079. doi:10.1001/archderm.1941.01490240133022